One -year -old male treasure intestinal tube is stacked, and the doctor repeatedly flushed the water "unraveling"

Jimu Journalist Liu Xun

Correspondent Xue Yuan

The one -year -old male Bao suddenly cried and suspended, and vomited for 3 days, and was diagnosed with intestinal cover. After transferring to Wuhan Children's Hospital, the experts used ultrasonic monitoring of lower water pressure enema reset. On September 13, the baby was discharged from the hospital, and the parents were grateful.

Xinzhou male Baomu (pseudonym) is just 1 year old and 2 months old. He usually eats and sleeps, and his body is good. According to grandma, on the morning of September 7, the little grandson suddenly cried, and she couldn't coax well. I thought it was gastroenteritis. Grandma held her baby to the nearby small clinic to get an injection, but the baby's spirit was getting worse and worse. Later, I was sent to the local hospital. After examination, the doctor was diagnosed with intestinal condoms, and it was recommended to transfer to Wuhan for surgery.

The doctor checks the baby's recovery. (Correspondent's picture)

At 4:30 pm on September 10, Mu Mu was transferred to Wuhan Children's Hospital. Dr. Li Huan, a ward of the general surgery of the hospital, recalled that when the baby was sent from the emergency department to the ward, his spirit was sluggish, his cry was weak, and his stomach was swollen like a small ball. At this time, the intestinal cases have been stacked for more than 72 hours, and it is accompanied by intestinal obstruction. If the intestinal tube is not solved in time, intestinal necrosis will be caused by ischemia, and the consequences will be unimaginable.

Considering that the child is younger and the damage to the rash surgery is greater, Dr. Li Huan proposed two treatment plans: first try the water pressure enema under the ultrasonic guidance, that is, to help the intestine reset by the pressure of water. If the water pressure enema cannot be successful, the emergency surgery is reset to reduce intestinal damage.

After fully communicating with the parents, Dr. Li Huan immediately reset it under the ultrasonic guidance and used temperature -physiological saline for Mu Mu enema. After the first water injection, there was a sign of retreat in the stacked intestinal tube, indicating that there is a possibility of success. Considering that the child's abdominal distension is obvious, after repeated water discharge and flushing reset, after 2 hours, the stacked block slowly retreats, and finally disappears. That night, the baby's spirit became better and was willing to eat milk.

"The intestinal cover is a section of intestine set into a adjacent intestine. Like a single bonus telescope, it is one of the common abdominal emergencies in children." Dr. Li Huan explained that acute intestinal cases are common in infants and young children under 3 years old The current cause is not very clear. It is possible to cause intestinal dysfunction due to dietary changes. If it increases supplementary food within one year old, it may cause intestinal dysfunction. , Caused the rhythmic disorders of intestinal peristalsis.

The doctor reminded that if the baby has paroxysmal crying and is accompanied by vomiting, pulled out the sauce and blood stool, you can touch the sausage, elastic, slightly moved, and light tender when touching the stomach. Beware that the intestinal case may be stacked, so be sure to take the doctor immediately. If the delay is too long, the child will have dehydration and electrolyte disorders. In severe cases, even intestinal necrosis may occur, which may endanger life.

According to Bian Hongqiang, the chief physician of the general surgery area of ​​the hospital, generally speaking, air enema reset in X -line is a commonly reset method for children's intestinal cases. However, this method must be performed under X -ray. Children are not easy to cooperate. Family members need help. Adults and children must "eat rays". And ultrasound guidance is more advantageous, especially for children with repeated intestinal collars, repeatedly will not damage the child's body. As of now, the department has been successfully reset for children with more than 1,300 cases.

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